GREGORY ALAN VICKERY (NPI# 1194893321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194893321 |
Entity Type | Individual |
Full Name | GREGORY ALAN VICKERY |
Credential | LMFT |
Practice Address |
1092 E Grand Ave Suite A Arroyo Grande CA 93420-2565 |
Mailing Address |
2178 Johnson Ave San Luis Obispo CA 93401-4535 |
Practice Telephone | 8054737142 |
Practice Fax Number | 8054737124 |
Mailing Telephone | 8054737142 |
Mailing Fax Number | 8054737124 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | MFC23249 | CA | Behavioral Health & Social Service Providers |
Street Address |
1092 E GRAND AVE SUITE A |
City | ARROYO GRANDE |
State | CA |
Zip Code | 93420-2565 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972718609 | Judith Elaine Kodaj | Registered Nurse | 1092 E Grand Ave, Slo Co. Mental Health, Arroyo Grande, CA 93420-2565 | 2007-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
Find all providers in zip 93420 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649752635 | Jeremy Dastic | Marriage & Family Therapist | 130 W Branch St Ste B, Arroyo Grande, CA 93420-6617 | 2018-09-05 |
1003200502 | Leslie Barber | Marriage & Family Therapist | 1170 E Grand Ave, Arroyo Grande, CA 93420-2556 | 2015-03-23 |
1821340639 | Michelle Ogle Lmft, Inc. | Marriage & Family Therapist | 411 Traffic Way Ste A, Arroyo Grande, CA 93420-3362 | 2012-10-04 |
1508144361 | Jakelyn Llamas Meza | Marriage & Family Therapist | 1086 E. Grande Ave, Arroyo Grande, CA 93420 | 2011-07-28 |
1861711327 | Heather Lin Anderson | Marriage & Family Therapist | 1303 E Grand Ave Ste 233, Arroyo Grande, CA 93420-2462 | 2010-05-24 |
1033342761 | Tara D. Storke | Marriage & Family Therapist | 2310 Oak Haven Lane, Arroyo Grande, CA 93420 | 2009-08-28 |
1518194927 | Joseph Lee Pollon | Marriage & Family Therapist | 129 E Branch St, Suite A, Arroyo Grande, CA 93420-2701 | 2009-06-12 |
1053508648 | Ashley Erin Gray | Marriage & Family Therapist | 316 E Branch St, Arroyo Grande, CA 93420-2706 | 2007-09-27 |
1861695496 | Gerald Thomas Arseneau | Marriage & Family Therapist | 215 S Mason St, Arroyo Grande, CA 93420-3314 | 2007-06-10 |
1174733463 | Paul Malouf | Marriage & Family Therapist | 205 Canyon Way, Arroyo Grande, CA 93420 | 2007-05-23 |
Find all providers in ARROYO GRANDE |
City | ARROYO GRANDE |
Zip Code | 93420 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.